Michelle Bundrum, is a medicare enrolled "Social Worker - Clinical" provider in Kenansville, Florida. She graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Grow Healthcare Group Pa and her current practice location is
1450 S Kenansville Rd, Kenansville, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 770-9291.
Michelle Bundrum is licensed to practice in Florida (license number SW15749) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043679194.
Healthcare Provider's Profile
| Full Name | Michelle Bundrum |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 10 Years |
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| Location | 1450 S Kenansville Rd, Kenansville, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michelle Bundrum graduated from medical school in 2015
NPI Data:
- NPI Number: 1043679194
- Provider Enumeration Date: 02/17/2016
- Last Update Date: 03/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 6507244373
- Enrollment ID: I20220607001670
Medical Identifiers
Medical identifiers for Michelle Bundrum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043679194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | SW15749 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Grow Healthcare Group Pa | 3476961368 | 706 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michelle Bundrum allows following entities to bill medicare on her behalf.
| Entity Name | Counseling Resource Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164819041
PECOS PAC ID: 3779884093
Enrollment ID: O20151210001645 |
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| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Bundrum is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Michelle Bundrum,
517 Deltona Blvd Ste A,
Deltona, FL 32725-8016
Ph: (407) 770-9291 | Michelle Bundrum,
1450 S Kenansville Rd,
Kenansville, FL 34739-9637
Ph: (407) 770-9291 |
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